Theoretical Foundations of Nursing Science Discussion Paper

This assignment is designed for the student to examine the antecedents, attributes, and consequences of a selected concept. The student will explore a concept, and then analyze the concept using  Steps from Wilson’s Concept Analysis Walker & Avant, 2019, p.170).

The body of the paper should not exceed 10 pages. Points will be deducted for exceeding the page limit. Succinct expression of ideas is a critical skill.

Grading is according to the Grading Rubric for Written Assignments found in the first content section of the course in D2L. It is posted below for your convince.

Follow these steps while completing the project:

1. Introduction
2. Select a concept relevant to nursing. Describe very specially why and how it is relevant to nursing.
3. Identify specific uses of the concept in the practice setting
4. Determine the concept’s defining attributes, antecedents, and consequences.
5. Tie the concept’s attributes, antecedents, and consequences to actual practice activities.
6. Present a case example of #5
7. Discuss limitations to use your selected concept in practice.
8. Conclusion Theoretical Foundations of Nursing Science Discussion Paper

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Wilkes University Passan School of Nursing Graduate Program

Grading Rubric for Written Assignments

Introduction

The selected concept for analysis in this paper is trust. The analysis of the concept of trust uses the steps of concept analysis described by Walker and Avant (2019). This concept analysis aims to highlight its attributes and uses in the nursing practice. The analysis will include the description of the relevance of trust in nursing, identification of basic elements of the concept, its specific uses in the practice setting, defining attributes, antecedents, and consequences with descriptions of how they relate to actual practice. The paper describes the concept’s case example of the concepts and limitations of using it in practice.

The Selected Concept Relevant to Nursing

            The concept of trust is essential in any number of relationships, both personal and professional. In its simplest form, trust is the belief that someone or something is reliable, good, honest, and will do what is expected without being monitored by the ‘trustor’ (Abedi, Zeleznikow & Bellucci, 2019). To form trust, individuals must establish a level of credibility. Once trust has been established, individuals can rely on the other person or thing for support and protection. The concept of trust is relevant to nursing because it is an essential part of the nurse-patient relationship. Trust is a positive expectation that the word, promise, or communication of another will be reliable (Abedi et al., 2019). For patients to feel comfortable sharing their personal information with nurses and trusting them to provide care, nurses must be trustworthy. There are several ways in which nurses can build trust with their patients, such as being honest. Theoretical Foundations of Nursing Science Discussion Paper

Why and How the Concept of Trust is Relevant to Nursing

Trust is critical in nursing, as it is essential to the nurse-patient relationship. This relationship is built on trust, as the patient must trust the nurse to provide care, and the nurse must trust the patient to be open and honest with them about their condition (Pratt et al., 2021). The nurse must also have a trusting relationship with other health care team members, as they rely on each other to provide quality care. Nurses need to build trust with their patients to provide care effectively. A strong relationship between nurse and patient is built on mutual respect, understanding, and transparency. Patients must feel their nurses are there for them, listening and responding compassionately to their concerns. Nurses need to trust that their patients will be honest with them and that they will not try to hide any problems or injuries. Building trust is a process, and it takes time and effort. It starts with establishing a positive relationship with the patient, which can be difficult in cases of illness or injury.

By building trust, nurses can provide compassionate and effective patient care. Nurses should always be honest with their patients and work to establish a positive relationship to provide quality nursing care. Nurses must show patience and understanding during difficult times and never force patients to disclose the information if they do not want to. Nurses must always be honest with their patients, no matter what. Nurses need to trust their patients to provide the best possible care. Nurses must be able to trust their patients to tell them the truth and to provide accurate information. Patients need to trust that nurses will care for them and not hurt them. Patients also need to trust that nurses will be honest about their condition. Nurses must be able to build trust with patients over time, and it takes a lot of effort and patience to do so. Nurses need to trust their patients to provide the best possible care. Patients need to trust that nurses will care for them and not hurt them.

Specific Uses of the Concept in the Practice Setting

            According to Walker and Avant (2019), identifying the uses of a concept is a significant step in concept analysis that highlights the broad use of the outcome. A broad description of the uses helps determine related and borderline cases of the concept in subsequent analysis steps. Trust is a concept that is essential to the nursing practice setting. It is the foundation upon which the nurse-patient relationship is built and is necessary for effective care delivery. Trust is fostered through the nurse’s ability to be trustworthy, credible, and responsible. It is also reinforced by the patient’s perceptions of the nurse as someone they can trust. The specific uses of the concept in the nursing practice setting include building a trusting relationship and establishing trust whereby nurses establish and maintain trust by demonstrating reliability, credibility, and responsibility. Trust is used to provide support and care. Nurses need to be able to provide support and care in a way that is comfortable for the patient. This includes being sensitive to the patient’s needs and feelings and being responsive to any questions or concerns the patient may have. Theoretical Foundations of Nursing Science Discussion Paper

Trust encourages collaboration between nurses and patients, and their care providers. The nurse-patient relationship is founded on collaboration, which is essential for optimal care delivery. Nurses need to be able to encourage patients to participate in their care, as well as provide support and information when necessary. Nurses and other care providers trust each other with duties, roles, or resources because of established reliability and credibility. According to Babaii et al. (2021), trust is used to facilitate communication in the practice setting, hence enhancing the nurse-patient relationship built on effective communication. Nurses need to be able to communicate with the patient in a way that is both clear and concise and needs to relay any important information or instructions properly.

By improving care delivery, the trust supports recovery where the nurse-patient relationship creates a therapeutic relationship. Through the built trust, nurses help patients feel comfortable discussing their illness and treatments, resulting in faster and more effective treatment. By building trust in the practice setting, nurses can provide emotional support to patients, helping them feel comfortable and safe during their hospital stay. The support facilitates faster recovery and improves overall health. Trust is critical in nursing because a therapeutic nurse-patient relationship is based on trust.

Concept’s Defining Attributes, Antecedents, and Consequences

Walker and Avant (2019) highlight that the attributes of a concept reveal the defining characteristics, which should be demonstrated in instances where people practice it. The existing literature revealed that the characteristics of trust include the willingness to engage other people in working relationships, showing honesty, maintaining confidentiality, and having respect (McCabe & Sambrook, 2014). Trustworthy nurses would be dependable, reliable, and loyal to clients and other care providers because of demonstrating trustworthiness. Therefore, nurses’ confidentiality, communication styles, and honesty affect how others consider them trustworthy. The attributes of the concept of trust can be summarized as the belief in another person or entity’s goodness, reliability, and integrity. Theoretical Foundations of Nursing Science Discussion Paper

The antecedents of a concept are the events or circumstances that preceded its occurrence or factors that contributed to the concept’s development. According to Walker and Avant (2019), the antecedents of a concept must be present for it to happen. The antecedents of the concept of trust are experiences a person had regarding the need for a trustworthy person and beliefs that a person or entity acts for the goodwill or benevolence of another. The antecedents to the development of trust include being raised in an institution where trust is a key value, experiencing positive experiences with trustworthy people or entities, and being taught to rely on others for help and support.

The consequences of a concept are incidents or outcomes related to the occurrence of the concept. The consequences of developing trust include increased satisfaction with relationships, improved communication, decreased vulnerability to fraud, improved decision-making, and increased productivity and efficiency in work settings. McCabe & Sambrook (2014) relate the concept of trust with problem-solving, cooperation, and team member satisfaction. Ultimately, trust is a key component of healthy relationships and can play a significant role in enhancing both individual and collective well-being. Therefore, individuals must learn to develop trustworthy relationships early on in life to enjoy the benefits of the trust.

Concept’s Attributes, Antecedents, and Consequences in Actual Practice Activities

            The concept of trust is related to nursing practice activities because nurses need to have a trusting relationship with their patients to facilitate care delivery. For trust to occur in healthcare, patients should desire to meet a trustworthy nurse or care provider. Likewise, nurses feel the need to manage trustworthy patients. Previous experiences with a trustworthy patient or nurse can also ignite the need to be trustworthy. Nurses must be reliable and have the integrity to build trust with their patients. It is also important for nurses to act in a good manner to earn the trust of their patients. If nurses behave in a harmful or unethical way, their patients may feel uncomfortable sharing sensitive information or refuse to cooperate during medical procedures. Theoretical Foundations of Nursing Science Discussion Paper

Conversely, if nurses are consistently trustworthy and respectable, their patients will likely feel more secure sharing personal and be more likely to cooperate with medical procedures. A trusting relationship can lead to positive outcomes for nurses and patients (Liao et al., 2022). There are attributes that nurses should demonstrate when in a trusting relationship with their patients: being reliable, acting in a good manner, and being respectful. Reliability means that nurses will offer quality nursing care and provide accurate information. Patients need to see nurses as reliable people meaning that nurses will not abuse their trust and information or mistreat them. By being trustworthy, reliable, and people of integrity, nurses can be predictable and enhance their relationship with clients. The established trusting relationship demonstrates that patients are valued and helps prevent any potential conflict or resentment between the nurse and patient. The consequences of trust would be improved patient outcomes, relationship satisfaction, and communication.

Case Example

A case example of a concept demonstrates all concept attributes, acting as a pure exemplar. The case example of the concept of trust in nursing practice entails nurse CR, a female nurse working at the geriatric unit. She is consistently caring and professional when handling her patients. She always demonstrates reliability in keeping appointments or promises to patients and following up with them after appointments. One of the episodes is when a patient diagnosed with throat cancer revealed to the nurse that the disease was treatable by taking warm fluids. The nurse showed honesty and reliability in providing accurate information about their health. She referred the patient to an oncologist and made follow-ups on the treatment progress. She exhibited integrity in her interactions with patients. In an incident when she counseled an elderly patient with depression due to a troublesome family relationship, she was sensitive and took time to understand her patient’s needs. In addition to being a professional, caring, and trustworthy nurse, nurse CR would go above and beyond to provide the best possible care for her patients. Consequently, the nurse built trust with her patients while her patient trusted her too. The trusting relationship was therapeutic and promoted patient outcomes. Theoretical Foundations of Nursing Science Discussion Paper

Limitations to Use of Trust Concept in Practice

            The concept of trust is a central element in nursing practice; hence, nurses need to build trust with their patients to provide effective and safe care. However, trust is not a static concept; it can be damaged or destroyed over time, making it difficult to determine where nurses need to focus their efforts in rebuilding trust with their patients. One of the main limitations of using the concept of trust in nursing practice is that it can be difficult to measure. It is difficult to determine what level of trust a patient has in a nurse, and it is also difficult to assess the extent to which trust has been damaged or destroyed. This makes it difficult to identify areas where nurses must work harder to rebuild patient trust.

Another limitation of using the concept of trust is that it can be subjective. Patients may view the same situation differently, depending on their individual experiences and beliefs. This can make it difficult for nurses to gauge whether or not trust has been damaged or destroyed. Overall, the concept of trust is a central component in nursing practice. However, there are several limitations to using it in practice. It isn’t easy to measure, and it can be subjective. Additionally, trust can be damaged or destroyed over time.

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Conclusion

Trust is a critical concept in nursing. Patients need to know that nurses will not lie to or withhold information from them. Nurses must be able to build trust with patients over time, and it takes a lot of effort and patience to do so. Trust also plays a role in the nurse-patient relationship and is essential to patients’ quality of care. The antecedents are the actions or behaviors that occur before the trust is established, while its attributes include trustworthiness, reliability, and integrity. The consequences of trust are the results of the trusting relationship, including positive outcomes such as increased communication and collaboration and satisfaction with the relationship. The concept of trust is important for nurses because it is a foundation for effective communication and collaboration. When these attributes are evident in nursing practice activities, nurses can build trust with their patients and colleagues, leading to improved patient care and increased cooperation between nurses and other healthcare providers. Theoretical Foundations of Nursing Science Discussion Paper